Anatomic Lateral Ligament Reconstruction in the Ankle

Kennedy, John G.; Smyth, Niall A.; Fansa, Ashraf M.; Murawski, Christopher D.

doi:10.1177/0363546512455397

Cited by 60 publications

(41 citation statements)

References 44 publications

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“…For the athletic population, return to play was 7 wk on average, with longer recovery times in those that required additional procedures, specifically lateral ligament reconstruction (15 wk) and microfracture for OCL's (14 wk). All but one of the athletic cohort (33 of 34 patients) returned to their same level of play indicating an expectation of return to play following this procedure [40] .…”

Section: Anteromedial Impingementmentioning

confidence: 89%

“…Surgery is indicated in patients with chronic mechanical instability. Traditionally, two forms of repair are considered: An anatomic reconstruction such as the Brostrom or Gould modification (Figure 4), or a nonanatomic checkrein tenodesis such as the ChrismanSnook procedure [20,40] . Anatomical repairs appear to produce better outcomes and there is additional concern that some checkrein procedures can restrict subtalar motion and prevent normal agility on playing surfaces by altering hindfoot biomechanics [38,[41][42][43] .…”

mentioning

confidence: 99%

“…Surgical outcomes in acute and chronic lateral ankle ligament repairs are generally good and most athletes are able to return to their pre-injury level of function [20] . Kennedy et al [40] reported an anatomic repair augmented with a portion of peroneus longus used as an ATFL checkrein in 57 athletes, including 11 soccer players ( Figure 5). Although all patients achieved mechanical stability, five patients did not return to their pre-injury level for reasons unrelated to their ankle.…”

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confidence: 99%

“…Reproduction without express written consent is prohibited. Reproduced, with permission, from Kennedy et al [40] .…”

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confidence: 99%

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Football injuries of the ankle: A review of injury mechanisms, diagnosis and management

Walls

Ross

Fraser

et al. 2016

WJO

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Football is the most popular sport worldwide and is associated with a high injury rate, most of which are the result of trauma from player contact. Ankle injuries are among the most commonly diagnosed injuries in the game. The result is reduced physical activity and endurance levels, lost game time, and considerable medical cost. Sports medicine professionals must employ the correct diagnostic tools and effective treatments and rehabilitation protocols to minimize the impact of these injuries on the player. This review examines the diagnosis, treatment, and postoperative rehabilitation for common football injuries of the ankle based on the clinical evidence provided in the current literature.

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Section: Anteromedial Impingementmentioning

confidence: 89%

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confidence: 99%

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confidence: 99%

“…Reproduction without express written consent is prohibited. Reproduced, with permission, from Kennedy et al [40] .…”

mentioning

confidence: 99%

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Football injuries of the ankle: A review of injury mechanisms, diagnosis and management

Walls

Ross

Fraser

et al. 2016

WJO

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“…Exclusion criteria: combined medial (deltoid ligament) and lateral ankle instability; local infection of the ankle joint; fracture of the tibia, fibula, talus, or calcaneus (except for the ankle avulsion of small bones). [ 12 ] Contraindications to this surgery included congenital collagen deficiency, bodyweight >120 kg, severe heart disease, lesions affecting liver and kidney function, severe diabetes, central nervous system diseases, and other medical diseases.…”

Section: Methodsmentioning

confidence: 99%

Diagnosis and treatment of chronic lateral ankle instability with ligamentum bifurcatum injury

Sun

Wang²,

Tang³

et al. 2018

Medicine

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This study aimed to report our institution's experience in the diagnosis and treatment of chronic lateral ankle instability (CLAI) with ligamentum bifurcatum (LB) injury.This retrospective study included 218 consecutive patients with CLAI who underwent surgery from January 2012 to December 2015. The 218 patients received tendon allograft reconstruction of the lateral ligament. CLAI was combined with LB injury in 51.4% (112/218) of patients. The 112 patients with concurrent LB injury had this treated simultaneously; 36 patients underwent excision of the anterior process of the calcaneus, 68 underwent LB repair, and 8 underwent LB reconstruction. Patients returned for a clinical and radiologic follow-up evaluation at an average of 31 (range, 24–35) months postoperatively. Outcomes were assessed by comparison of pre- and postoperative American Orthopaedic Foot and Ankle Society (AOFAS) scores, visual analog scale pain scores, Karlsson scores, and radiographic assessment.Of the patients with concurrent LB injury, 82.1% (92/112) returned for final evaluation. Postoperatively, most patients recovered very well. However, the outcome was not ideal in those who underwent excision of the anterior process of the calcaneus; there were significant postoperative decreases in talar tilt (P < .05) and anterior drawer (P < .05), but there was no significant postoperative improvement in visual analog scale pain score and AOFAS score. Patients who underwent LB repair or reconstruction had an excellent or good outcome regarding patient subjective self-assessment, pain scores, Karlsson scores, and AOFAS scores at final follow-up.Patients with CLAI often have concurrent LB injury. The diagnosis of LB injury can be missed or delayed. Clinicians should closely examine the LB in cases of CLAI, and should surgically repair or reconstruct the LB when necessary.

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Postoperative Imaging of Sports Injuries: Foot and Ankle

Cheng

Lange

Morrison

2020

Postoperative Imaging of Sports Injuries

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Anatomic Lateral Ligament Reconstruction in the Ankle

Abstract: This hybrid anatomic lateral ligament reconstruction technique using a peroneus longus autograft to substitute the native ATFL provides an alternative to anatomic reconstruction when direct repair is not possible.

Cited by 60 publications

References 44 publications

Football injuries of the ankle: A review of injury mechanisms, diagnosis and management

Football injuries of the ankle: A review of injury mechanisms, diagnosis and management

Diagnosis and treatment of chronic lateral ankle instability with ligamentum bifurcatum injury

Postoperative Imaging of Sports Injuries: Foot and Ankle

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